REPUBLICA BOLIVARIANA DE VENEZUELA

MINISTERIO DEL PODER POPULAR PARA LA EDUCACION

LICEO.ANDRES ELOY BLANCO
PAYARA MUNICIPIO PAEZ

ENTREVISTA AL PERSONAL DOCENTE

Lugar:_____________________________________Fecha:____/____/____ Hora:________
Docente Que Realiza La Entrvisata:_______________________ Ci:_________________
Funcion Que Cumple: ___________________________________
Nombre Y Apellido Del Docente:__________________________________________ CI:______________
N° de teléfono:_______________________
Motivo de la entrevista:________________________________________________________________

DESCRIPCION:___________________________________________________________________________
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ACUERDOS:______________________________________________________________________________
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COMPROMETIDOS: Y CONFORMES FIRMAN:

DOCENTE:______________________________ HORA DE CULMINACION______________